NRSI 206 BSN 206 Nightingale College Question and answers verified to pass NRSI 206-Exam 1
Discuss the role of assessment as a starting point of all models of clinical reasoning - correct answer Assessment is the method of collecting and analyzing data for the purpose of planning patient-cente...
NRSI 206-Exam 1
Discuss the role of assessment as a starting point of all models of clinical
reasoning - correct answer ✔Assessment is the method of collecting and
analyzing data for the purpose of planning patient-centered care; The
collection of data about an individuals health state
Overall purple of nursing health assessment - correct answer ✔To identify
patients condition from the baseline; thus the focus of the assessment is
largely based on the condition or problem the patient is experiencing.
*Health assessment is needed to make clinical decisions as well
Discuss the steps and characteristics of a health assessment performed by
the nurse - correct answer ✔-Health history: Collection of subjective data
referred to as symptoms that is collected during the interview. Information
obtained straight from the patient is called primary source data.
-Physical examination: Collection of objective data referred to as signs. These
are data that can be measured. Inspection, percussion, and auscultation are
included in this.
-Document data: this is done so that the data is available to other health care
staff. This will also help provide a good plan of care for the patient.
Review the concepts of health, public's concept of health, etc. - correct
answer ✔
,Discuss the holistic model of assessment - correct answer ✔The whole idea
of this assessment is to sit down with the patient and have a conversation to
understand the patient as a whole.
Review the types of assessment and data base that the nurse collects -
correct answer ✔1) Comprehensive assessment: This involves a detailed
history and physical examination performed at the onset of care in a primary
care setting or on admission to a hospital or long-term care facility. The
comprehensive assessment encompasses health problems experienced by
the patient; health promotion, disease prevention, and assessment for
problems associated with known risk factors; or assessment for age and
gender specific health problems.
2) Problem-based/focused assessment: Involves a history and examination
that are limited to a specific problem or complaint (e.g., a sprained ankle).
This type of assessment is most commonly used for WALK-IN CLINIC OR
EMERGENCY DEPARTMENT, but it may also be applied in other outpatient
settings. Although the focus of data collection is on a specific problem, the
potential impact of the patients underlying health status also must be
considered.
3) Episodic/follow-up assessment: Usually done when a patient is following up
with a health care provider for a previously identified problem. For example, a
patient treated by a heath care provider for pneumonia might be asked to
return for a follow-up visit after completing a prescription of antibiotics. An
individual treated for an ongoing condition such as diabetes is asked to make
regular visits to the clinic for episodic assessment.
4) Shift assessment: When individuals are hospitalized, nurse conduct
assessments each shift. The purpose of the shift assessment is to identify
changes to patients condition from the baseline; thus the focus of the
assessment is largely based on the condition or problem the patient is
experiencing.
, 5) Screening assessment/examination: A short examination focused on
disease detection. A screening examination may be performed in a health
care provider's office (as part of a comprehensive examination) o
Differentiate between a nursing assessment and a medical assessment -
correct answer ✔1) Nursing assessment: Focuses on how the client's health
status affects his ADL's and how ADL's affect his health
-Collects holistic data
2) Medical assessment: Focuses primarily on the client's physiologic
development status
Describe the use of the nursing process in clinical judgement - correct answer
✔Clinical judgement: An interpretation or conclusion about a patients needs,
concerns, or health problems and/or the decision to take action (or not), use
or modify standard approaches, or improvise new ones as deemed
appropriate by the patient's response.
-Although clinical judgement depends on an accurate collection of
assessment data, the nurses interpretation of these data guides the nursing
actions.
-Clinical judgement is influenced more by the nurse's experiences, knowledge,
attitudes, and perspective than the data alone. Ex: A novice nurse and an
experienced nurse's analysis and interpretation of data is going to differ.
What are the phases of the nursing process in clinical judgement - correct
answer ✔-The process of clinical judgement includes four components:
1) Noticing
2) Interpreting
3) Responding
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